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A combination chemotherapy regimen consisting of the taxane paclitaxel, the retinoid isotretinoin (13-cis retinoic acid), and the biologic immunomodulator interferon alfa-2b. Developed and studied by the University of Medicine and Dentistry of New Jersey (now Rutgers New Jersey Medical School), this regimen was evaluated in a Phase II clinical trial for the treatment of advanced, recurrent, or persistent cervical cancer. The therapeutic rationale behind the combination is chemosensitization; isotretinoin and interferon alfa-2b are used to synergistically downregulate the anti-apoptotic protein bcl-2, thereby overcoming drug resistance and enhancing the cytotoxic efficacy of paclitaxel-mediated microtubule stabilization.
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